- UCLA Health (Los Angeles, CA)
- …Elevate the operational and financial effectiveness of a complex health system. Take your professional expertise to the next level. You can do all this and more at ... compliance with government regulations, reimbursement issues, etc. + Analyze hospital billing claims within the EHR and claim scrubber system + Resolve claim errors,… more
- Sharp HealthCare (San Diego, CA)
- …non-clinical appeals and grievances. **Required Qualifications** + 3 years' experience in claims , utilization review, appeals or member services in a managed care ... appeals/grievance process.Communicates both in written and oral form in a professional manner with members, providers, other health plan departments, and… more
- The County of Los Angeles (Los Angeles, CA)
- …applicant's responsibility to take steps to view correspondence, and we will not consider claims of missing notice to be a valid reason for re-scheduling an exam ... ADA Coordinator Phone: ### Teletype Phone: ### Department Contact Name: Professional Examinations Unit Department Contact Phone: ### Department Contact Email:… more
- City and County of San Francisco (San Francisco, CA)
- …of program services and outreach activities; referring program participants to professional care providers; explaining the process of the criminal justice system; ... assist program participants in obtaining appropriate services, and refer to professional psychological, health, medical, and social service care providers. 2.… more
- The County of Los Angeles (Los Angeles, CA)
- …rejuvenate as you reach your fullest personal and professional potential.Click here (https://hr.lacounty.gov/benefits/) to see comprehensive information regarding ... information concerning new or revised procedures. + Works with Professional Standards Review Organization representative to orient new staff...steps to view correspondence, and we will not consider claims for missing notices to be a valid reason… more
- Sedgwick (Ontario, CA)
- …job requiring no prior experience that offers an opportunity to develop a professional career? + A stable and consistent work environment in an office setting ... to take care of your mental, physical, financial and professional needs **PRIMARY PURPOSE OF THE ROLE:** To provide...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Amentum (Sacramento, CA)
- …global insurance programs (property, casualty, cyber, D&O, aerospace, marine, professional , etc.), including annual renewals, broker engagement, and carrier ... appropriate insurance coverage and risk mitigation strategies. + Lead complex claims management, including litigation strategy and resolution in coordination with… more
- Elevance Health (Costa Mesa, CA)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to ... prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new...Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4… more
- Harris & Associates (Monterey Park, CA)
- …division as part of the education/vertical division. If you're a driven professional looking for a collaborative environment, work that makes a difference, and ... schedule + Perform time impact analysis of project schedule delays and potential claims + Participate in change order negotiations + Perform Critical Path and Earned… more
- Sedgwick (Long Beach, CA)
- …from and to share your insights. + Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. ... Bachelor's degree from an accredited college or university preferred. + Professional certification as applicable to line of business preferred. **TAKING CARE… more